Whether mTICI 3 or mTICI 2b is better in patients with vertebrobasilar artery occlusion undergoing endovascular treatment depends on pc-ASPECTS
In patients with VBAO undergoing EVT with pc-ASPECTS>6, achieving mTICI 3 favors better outcomes compared with mTICI 2b, especially in those receiving direct EVT. However, in patients with pc-ASPECTS≤6, mTICI 3 did not improve functional outcomes compared with mTICI 2b. Interventionalists should carefully assess the risk-benefit of additional maneuvers once mTICI 2b reperfusion is restored in EVT for patients with VBAO and pc-ASPECTS≤6. Further studies are needed to guide treatment decisions in these cases.
Authors
- Luca Scarcia (ORCID: https://orcid.org/0000-0002-1316-0383)
- Alessandro Pedicelli (ORCID: https://orcid.org/0000-0002-2558-8838)
- Pan Zhang (ORCID: https://orcid.org/0000-0001-6320-6987)
- Wen He Sun (ORCID: https://orcid.org/0000-0002-7268-2085)
- Aldobrando Broccolini (ORCID: https://orcid.org/0000-0001-8295-9271)
- Ping Chen (ORCID: https://orcid.org/0009-0002-4776-7228)
- Andrea Maria Alexandre (ORCID: https://orcid.org/0000-0002-8080-3916)
- Zhanglin Li (ORCID: https://orcid.org/0000-0002-1959-078X)
- Xinfeng Liu (ORCID: https://orcid.org/0000-0002-8182-9632)
- Yingjie Xu
- Ruyue Wang (ORCID: https://orcid.org/0000-0003-2276-0214)
- Miaomiao Hu (ORCID: https://orcid.org/0009-0006-1821-0534)
Institutions
- Università Cattolica del Sacro Cuore (IT)
- University of Science and Technology of China (CN)
- Bengbu Medical College (CN)
- Agostino Gemelli University Polyclinic (IT)
- Hôpitaux Universitaires Henri-Mondor (FR)
- Istituti di Ricovero e Cura a Carattere Scientifico (IT)
- Putian University (CN)
Publication Details
- Journal
- Journal of NeuroInterventional Surgery
- Published
- 2024-09-09
- DOI
- https://doi.org/10.1136/jnis-2024-022020
- Citations
- 4
- Primary Topic
- Acute Ischemic Stroke Management
- Type
- article
- Field-Weighted Citation Impact
- 1.55